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SARA LYNN SULLIVAN
NPI 1902404023
Speech-Language Pathologist in Fort Wayne, IN

Active since October 12, 2020
5511 COVENTRY LN, FORT WAYNE, IN 46804(260) 222-8959(317) 520-8200 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Sara Lynn Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SARA LYNN SULLIVAN (NPI 1902404023) is an individual speech-language pathologist provider in Fort Wayne, Indiana, licensed in Indiana (22004287A) and active in the NPI registry since October 2020. She maintains a secondary practice location in Fort Wayne.

NPPES Registry Identity

NPI1902404023
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameSARA LYNN SULLIVAN
Location Address5511 COVENTRY LNFort Wayne, IN 46804-7144
Mailing Address3500 Depauw Blvd Ste 3070Indianapolis, IN 46268-6135 · (855) 324-0885 · Fax (317) 520-8200
Phone(260) 222-8959
Fax(317) 520-8200
Sole ProprietorNo
Enumeration DateOctober 12, 2020
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1902404023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in IN · 22004287A
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

5511 COVENTRY LN, Fort Wayne, IN 46804
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Other Names 1

Former Name (1)Sara Lynn Campos

Secondary Practice Location 1

Location 13320 N Clinton StFort Wayne, IN 46805-1918 · Phone (260) 483-2100 ext. 238

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ELIZABETH PETERS
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
JOHANNA GARNUETTE
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
REBECCA LOUISE SULLIVAN
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
ELLY DA COSTA
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
MEGHAN GOBLE
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
EMILY ZION
Occupational Therapist (Pediatrics)
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
NICOLE LINDSAY DOUST
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959
BRIENNA REINKE
Behavior Technician
5511 COVENTRY LN
FORT WAYNE, IN 46804
Allen County (260) 222-8959

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sara Sullivan's NPI number?

The NPI number for Sara Sullivan is 1902404023. It was assigned to this individual provider in the NPPES registry on October 12, 2020. The provider is also known as Sara Lynn Campos.

Where is Sara Sullivan located?

Sara Sullivan practices at 5511 Coventry Ln, Fort Wayne, IN 46804. The listed phone number is (260) 222-8959.

What is Sara Sullivan's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

When was this NPI record last updated?

The NPPES record for Sara Sullivan was last updated on October 22, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.